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Contents
  • Nerve Stimulation Techniques
  • Botox Injections
  • Augmentation Cystoplasty
  • Choosing the Right Advanced Therapy

Advanced Therapies for Overactive Bladder: Beyond Pills and Exercises

Advanced Therapies for Overactive Bladder: Beyond Pills and Exercises

When Standard Treatments Aren't Enough

For some people with overactive bladder (OAB), lifestyle changes and medications don't provide enough relief. Fortunately, there are advanced therapies that can help. These range from minimally invasive procedures to surgical options.
Contents
  • Nerve Stimulation Techniques
  • Botox Injections
  • Augmentation Cystoplasty
  • Choosing the Right Advanced Therapy

Nerve Stimulation Techniques

Nerve stimulation therapies work by modulating the nerve signals that control the bladder. There are several types, including percutaneous tibial nerve stimulation (PTNS) and sacral neuromodulation (SNM). PTNS involves placing a thin needle near your ankle to stimulate a nerve that affects bladder function. SNM uses a small implanted device to send mild electrical pulses to the sacral nerves.

Botox Injections

Botox isn't just for wrinkles - it can also help with OAB. When injected into the bladder muscle, it helps relax it, reducing sudden urges and leaks. The effects typically last 6-12 months before the procedure needs to be repeated. While effective, it does carry a risk of temporary urinary retention.
Advanced treatment options for overactive bladder, including nerve stimulation techniques and Botox injections, for cases where standard treatments are insufficient.

Augmentation Cystoplasty

This surgical procedure involves enlarging the bladder using a piece of your intestine. It's typically reserved for severe cases that haven't responded to other treatments. While it can significantly improve bladder capacity, it's a major surgery with potential complications.

Choosing the Right Advanced Therapy

The choice of advanced therapy depends on several factors, including the severity of your symptoms, your overall health, and your preferences. Your doctor will discuss the pros and cons of each option to help you make an informed decision. It's important to understand that while these therapies can be very effective, they may also have more risks than standard treatments.

FAQs

Are these procedures covered by insurance?

Many are, but coverage varies. Check with your insurance provider.

How long do the effects of Botox last?

Typically 6-12 months, after which the procedure can be repeated.

Is sacral neuromodulation reversible?

Yes, the device can be removed if needed.

Can I still have an MRI with a neurostimulator?

Some newer devices are MRI-compatible. Discuss this with your doctor.

How often is PTNS performed?

Usually weekly for 12 weeks, then monthly for maintenance.

Hope for Tough Cases

Advanced therapies offer hope for those with persistent OAB symptoms, potentially providing significant relief and improved quality of life.
Wondering if advanced therapies might be right for you? Discuss your options with Doctronic to find the best path forward.
Additional References
  1. Amundsen CL, et al. OnabotulinumtoxinA vs Sacral Neuromodulation on Refractory Urgency Urinary Incontinence in Women: A Randomized Clinical Trial. JAMA. 2016;316:1366-1374.
  2. Gormley EA, et al. Diagnosis and treatment of overactive bladder (non-neurogenic) in adults: AUA/SUFU guideline amendment. J Urol. 2015;193:1572-1580.
  3. Noblett K, et al. Results of a prospective, multicenter study evaluating quality of life, safety, and efficacy of sacral neuromodulation at twelve months in subjects with symptoms of overactive bladder. Neurourol Urodyn. 2016;35:246-251.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic.